Managing emotional regulation

One of the topics that I have been hearing a lot of lately in the toughest month of the year is
centred around emotional regulation.  When children impacted by FASD become extremely
stressed, they will find ways to release that emotion. Some of the methods that children may
use is swearing, hitting and kicking other people.  As parents, it is hard to know how to deal
with that situation.
The first thing you need to be aware of is this is a method of communication and is not specifically
targeting you.  I recently learned that we all have three muscles groups that we will use to release
that emotion.  Those three groups are our jaw muscles, arm muscles and leg muscles.  Just like
we have verbal, visual and touching learning styles, we all have a preferred method of the three
muscles groups.  If your child prefers to run or kick when extremely angry, they prefer leg muscles.  
If they punch or flap, they prefer arm muscles. And if they prefer to talk non-stop or yell, they prefer
jaw muscles.  The key to this is which one actually de-escalates them when they do it.  The other
groups will be for maintenance purposes only.

Once you determine their preferred muscle group, start looking for the signs that tell you they are
escalating.  Children will show behaviour that will tell you when they are struggling.  Some behaviours
you may see include becoming quiet, leaving and hiding, breaking out in hives, their lips and/or hands
becoming tense, or holding their breath.  This is where you really want to become the detective and
actively watch what is happening before they explode.  When children are struggling, it is normally
due to being asked to do something or manage something which they can't do.  Frustration will build
and eventually you get the explosion.  If you see frustration starting, end the activity immediately and
go to a de-escalating activity.

As you begin the de-escalating activity, be very conscious of your own state of mind.  Force yourself to
remain calm, breathe and use a quiet voice.  Focus on showing compassion to your child.  You want
to get close to them and get them to focus on you instead of the frustrating activity.  If they are too far
gone to focus, ask them to count to ten with you.  Counting to ten makes them engage their logical
brain and gives their emotional brain a chance to clear out the chemicals that are overwhelming them.
 You may need to count to ten three or four times before they can start talking.

You can move to your de-escalating activity now.  If you know arm muscles is their preferred muscles,
get a big exercise ball, hold it on the floor and tell them to start punching it.  Use both arms and
remind them to breath while they are doing so.  Take the ball and get them to bounce it as high as
they can.  Get them to throw it at a wall as hard as they can.  Do as many pushups as possible.  For
leg muscles, get on the trampoline and bounce as high as possible.  Sprint as long as you can.  Go
swimming in the pool.  Do as many squats as possible.  For jaw muscles, chew on a hard chew toy,
practice doing the auction song, yell as loud as possible and talk as long as possible.  The key is
remind them to do deep breathing in all these activities.  You do this until they are completely
exhausted.  Do not try to understand what escalated them at that time as we don't want to shame
them.  Wait until the next day when they are calm and have had time to process.

The elephant in the room, though, is what if they are too far gone and start hurting you or others.  
First, remember to stay calm.  Your child is communicating they need help and that requires you to
have control of the situation.  It may take time but they will follow your model.  If you get angry, they
will get angry.  If you are calm, they will get calm.  If you find yourself in a situation where you are
getting hurt, look into getting trained in Nonviolent Crisis Prevention Intervention.  This is the method
the Ministry of Community and Social Services recognizes the proper form of prevention and use of
physical restraint.  Most local colleges and/or service providers at times offer this course as well as
certain organizations.  
https://www.mcss.gov.on.ca/en/mcss/programs/developmental/information/physical_restraints_training.aspx

crisisprevention.com recently posted an excellent article regarding how to use NVCI with someone impacted by FASD.  https://www.crisisprevention.com/Blog/September-2015/FASD#.Wn5zsdSMmn8.facebook

You want to get yourself informed about your child's signs and triggers of frustration.  Once you
recognize the signs, the fear that your child may explode on you will leave because you will see that
they are communicating to you when they need help.  If you are having difficulty recognizing the
signs, get help from a third party like a psychotherapist.  My wife and I have benefited greatly from
having others giving us insights and perspectives we just don’t see.  In all my years of teaching
special education, I have yet to meet a child who wouldn't give me some sign they were about to
explode.  It may be quick and/or subtle, but the signs will be there.  Remember, you are a great
parent and your child does love you no matter what they may say or do.

Informal announcement regarding Key Worker implementation

Hello all,
The Lanark, Leeds Grenville FASD Work Group and the Kingston Parent Action Group has received notification that Kids Inclusive in Kingston who is the Special Needs Strategy Coordinating Agency for Kingston Frontenac Lennox Addington and Lanark Leeds-Grenville service deliveries has received the funding for the FASD Key Workers in these two service deliveries.  They are currently developing the job description for these workers and hope to be hiring by April timeframe.

Obviously, I am thrilled to see that it appears that MCYS has separated the funding and has established Lanark, Leeds-Grenville as its own service delivery and therefore should have its own Key Worker.  The draft job description includes the following:

FASD Worker Role

• Provide expertise on FASD, consultation and support to build seamless system navigation for individuals with FASD or suspected FASD and their families;
• Connect families to relevant services and other community supports/resources to support the inclusion and stability of children and youth in family, school and community life;
• Facilitate the exchange of information between relevant providers in the children’s services, education, and health sectors in each service delivery area;
• Explore flexible and innovative approaches for service delivery to meet the needs of the child/youth and bring forward any barriers to innovation that may exist;
• Build FASD capacity within Coordinating Agency and with other sector partners;
• Deliver FASD supports to children, youth and families;
• Educate parents, caregivers and school personnel about behavioural symptoms associated with FASD;
• Be knowledgeable and available to discuss the child/youth and family’s concerns;
• Participate in a provincial FASD Community of Practice;
• Participate in provincial FASD training sessions;
• Develop a support plan, not a formalized, cross-sectoral Coordinated Service Plan.

Key principles for FASD workers include:

•          Workers will provide services to children and youth up to the age of 18, including Indigenous children and youth, and young people between the ages of 18 and 21 who remain in school. They will provide direct service to children, youth and families with FASD, including consultation and system navigation support, as required.

•          Formal diagnosis of FASD will not be required to access the services and support.

•          Not everyone served by FASD workers will receive Coordinated Service Planning.

Margaret Van Beers vanbeerm@hdh.kari.net is the Director of Kids Inclusive and will be the primary decision maker in the allocation of these funds and hiring of these individuals.  She has extended invitation to the Chairs of LLG FASD WorkGroup, Erin Bertrand and Kingston PAG Rep. Len Whalen to collaborate with her in developing this implementation and get our input.  Obviously, the key aspects we want to stress is the need for the Key Worker to be mobile and part of the community fabric.  From a Lanark Leeds-Grenville standpoint, if the Key Worker is housed in Kingston, that will clearly not work.  It is a 2.5 hour drive from Kingston to the north border of Lanark one way.  The Key Worker needs to be working in a central location of Lanark, Leeds-Grenville.  Considering we have no central newspaper, no TV station and two radio stations devoted to this area with over 1/3 of the area still not having cell phone reception, mass media advertising does not work here.  It is face to face conversations with the key players in the community that will get the needed services to the needed people which again is why the key worker needs to be part of the community fabric and physically located here.  It appears the Lanark and Leeds-Grenville Hub associated with Kids Inclusive is Lanark Community Programs in Carleton Place and Developmental Services of Leeds-Grenville in Brockville.

They have also hired CanChild from McMaster University to provide the MPOC-20 tool to get feedback from parents as to the effectiveness of their implementation.  It will be the responsibility of all coordinating agencies who is responsible for the administration of getting this feedback from parents after implementation.  It is extremely important that all funding is used exclusively for a FASD Key Worker.  It is my hope that this funding will not be used for hiring a service coordinator, shared with autism supports, or admin costs within the organization.  It is very clear these coordinating agencies are just getting infrastructure in place as of literally this month considering Kids Inclusive is currently hiring their service coordinators and London is currently taking applications this month.

It sounds like MCYS is giving this funding to the current 34 coordinating agencies across the province who they tasked with developing the special needs strategy across the province in 2014.  I do know  Update September 2016 - Representatives of the government Ministry of Child and Youth Services(MCYS) contacted OCTC as the Coordinating Agency (Ottawa, Prescott-Russell, Stormont- Dundas-Glengarry) in the summer and identified a few questions related to the pending CHEO-OCTC amalgamation and the partnership model that was outlined in our proposals.  https://afchildrensservices.ca/en/about-us/news/ontario-special-needs-strategy-parent-update-september-2016/  The executive director for OCTC is Anne Huot who will be the primary decision maker for those service areas.

To figure out who your coordinating agency is, it will be an organization currently receiving funding from MCYS and is in charge of developing the special needs strategy in your area.  It seems like your local children treatment centre is the most likely to be your coordinating agency.  http://www.oacrs.com/en/memberdirectory  If they are not, they should know who is the coordinating agency.  I did find London has CSCN as their coordinating agency.  http://www.cscn.on.ca/site/en/about/employment-opportunities  I have found updates from the Special Needs Strategy and MCYS that after three years, they have now signed agreements from 29 of the 34 agencies and expect all agencies to begin implementation by Spring 2018.  I also received confirmation that Karen Huber has been hired as the Key Worker for the Waterloo region through Developmental Services Resource Centre http://www.dscwr.com/

It also sounds like MCYS will be identifying another 16 positions to cover the areas with high needs in terms of FASD to be implemented by 2018-19.  They are currently in process to make the determination of where the 16 high needs areas are located.

In closing, we need to get informed as to who these agencies are and get our message to them.  It is clear that MCYS wants these service providers to be working in collaboration with us.  After you introduce yourself, insist on finding out when they will be providing this service, when MCYS is providing the funding and when they will be getting feedback from their MPOC-20 survey.

Please feel free to continue contacting Minister Coteau at

mcoteau.mpp.co@liberal.ola.org

Update on Bill 191 advocacy across the province

Just a quick blog to update you on the impact your letters are having.

We have received confirmation that FASD Awareness Day at Queen's Park is happening Wed. April 11 where all 115 MPP's are invited for a lunch and hear presentations from FASD individuals and organizations from the Education, Research, Health, Justice and Social Services sectors.  It is also normal to have MPP's invite particular presenters to their offices for further discussion during this day.  A big thank you to Steve Catney of Alliance Youth Services and Dr. James Reynolds of Kids Brain Health Network for providing all necessary funds to make this day happen.

We also received confirmation that Mark and Savanna from Hamilton and Mary Ann from Halton were able to get a face to face meeting with Education Minister Naidoo-Harris.  However, it was supposed to happen today but got postponed likely due to yesterday's bombshell from the PC party.

We also got confirmation a local Ottawa FASD delegation also got a face to face meeting with House Leader Yasir Navqi to talk about Bill 191 and advocate for its scheduling.

Finance Minister Charles Sousa has also extended at least two invitations to FASD reps regarding 2018 Budget consultations which is happening next week.

MPP Kiwala is currently lobbying Education Minister Naidoo-Harris to appoint a FASD rep on the Ministry's Advisory Council for Special Education.  She has received an application for this appointment.  MASCE is the provincial council who speaks directly to the Education Minister three times a year.  An appointment on this council guarantees a seat for a minimum three years and maximum six years for that person.  However, if FASD becomes recognized as its own unique exceptionality, that seat becomes permanent.  And it doesn't matter if the Minister changes or even the party.  That FASD rep remains and continues to advise.

This was brought to my attention due to the fact Assistant Deputy Minister Martyn Beckett from the Ministry of Education is collecting contact information from FASD sources in case Bill 191 does pass.  He would normally speak to the FASD rep from MASCE but he doesn't have anyone to speak to there.

And finally, the letter from the Catholic School Board of Eastern Ontario supporting Bill 191 should be sent next weekend to all provincial SEAC's, Catholic trustees, and every school in that school board.

There has now been 1187 downloads of the template letter.  The message is getting out and we are now getting replies from MPP's all over the province.  Keep up the good fight, we are definitely making progress!

Impact of Cabinet Shuffle with new Education Minister Naidoo-Harris

I know there has been lots of discussion this week about the impact of having MPP Hunter and MPP Naidoo-Harris moved to new portfolios.  If you haven't heard, Ms. Wynne shuffled her cabinet this past Wed., moving MPP Hunter from Education to Advanced Education and Skills Development and promoting MPP Naidoo-Harris to Education Minister.

Regardless, this is actually a great opportunity for us.  Within the Ministry of Education, there are actually three MPP's.  MPP Naidoo-Harris from Halton is now the head Minister and she is on record as being in support of FASD.  “The Halton Fetal Alcohol Spectrum Disorder Collaborative provides important support for many Halton families facing challenges in their lives. This Ontario Trillium Foundation grant will help them expand their vital services and take care of the unique needs of local children and families affected by FASD. I’m so pleased our FASD community is getting this help.” – Indira Naidoo-Harris, MPP for Halton. Our friends in Halton are all over this and banging on doors as I speak.

Second, MPP Harris is still in the Ministry and MPP Granville Anderson is actually the parliamentary assistant in the ministry. The Deputy Minister Bruce Rodrigues, who all the letters actually go to, is still there. While I am trying to confirm, I have heard there is an Assistant Deputy Minister in the Ministry of Education who has been tasked by DM Rodrigues to start drafting policy in preparation of Bill 191 possibly passing. The other good part is Minister Hunter is now in charge of adult job skills and training including employment training and supports, apprenticeships, and colleges. We know how difficult it is for our adult children to maintain employment. Minister Hunter now has that portfolio.

We just passed 1000 downloads of the template letter and you may have seen from my last blog that the Catholic District School Board of Eastern Ontario is now sending a letter of support for Bill 191 and encouraging all school boards, SEACs, Catholic Trustees and local MPP's to also support the bill.

If you are up for another letter, I have changed the first paragraph of the template letter to have it addressed to Minister Naidoo-Harris. I have changed the access to it. To access it, please go to file/make a copy. Once you make a copy, copy and paste the first paragraph and put it on your Minister Hunter letter. You can also download the letter onto your computer from file/download as/docx. You should save a copy of your letter on your computer. We will likely be using it a few times over the next few months.

Due to the fact the bill has passed first reading with unanimous assent and conversations are happening in the Ministry of Education, our biggest obstacle now is getting it on the docket for second and third reading. The scheduling of the docket is determined ultimately by House Leader, the Honourable Yasir Navqi in consultation with Opposition House Leader Jim Wilson and Third Party House Leader Gilles Bisson.

We need to get louder now and make it clear we see this as an election issue. Please send it to the four following people:
inaidoo-harris.mpp.co@liberal.ola.org
ynaqvi.mpp@liberal.ola.org
jim.wilson@pc.ola.org
gbisson@ndp.on.ca


as well as your local MPP.  This is really important as we now have voices coming from about 80% of the province now.  If 80% of all our MPP's know we are serious, we will get this done.



https://docs.google.com/document/d/1GP6KCkCHg5SKb-UeatK9OV8pwklEuwFsD5UWmcY4tyI/edit

CDSBEO Board of Trustees passes motion supporting Bill 191

Tonight, the Catholic District School Board of Eastern Ontario passed unanimously the following motion brought by Trustee and SEAC Chair Sue Wilson.

We, the Catholic District School Board of Eastern Ontario, move that a letter signed by the SEAC Chair Sue Wilson and the Board Chair Todd Lalonde be sent to Education Minister Indira Naidoo-Harris encouraging her to bring Bill 191 forward for a second and third reading as soon as possible which would amend the Education Act to require Ontario School Boards to promote awareness and understanding of FASD including best practices for students impacted by FASD and facilitate collaboration with local parents and FASD Support Groups in the undertaking of this promotion.  
We also move that this letter be sent to all provincial Special Education Advisory Committees, the Ontario Catholic School Trustee Association and the Ministry's Advisory Council on Special Education.  
Then as an amendment, it was moved the letter be sent to all MPP's whose ridings are contained within the CDSBEO catchment.

In the following discussion, CDSBEO Trustee chair and Ontario Catholic Trustee Association Regional Director Todd Lalonde http://www.ocsta.on.ca/ocsta-board-of-directors/ also stated that he will be meeting with the OCSTA Board of Directors this coming Friday and will begin a discussion involving it.  

The letter will be written in the next two weeks by Superintendent of School Effectiveness for Special Education Dr. Donaleen Hawes and then brought forth to the CDSBEO SEAC meeting on Jan. 31 before being sent to the aforementioned organizations and people as well as all schools in the Catholic District School Board of Eastern Ontario.

In the following discussions, the letter will now be sent to Education Minister Indira Naidoo-Harris.  I know there is currently discussion about what the latest cabinet shuffle means for Bill 191.  Our new Education Minister Indira Naidoo-Harris is on record as being in support of the work the Halton FASD is currently doing.  “The Halton Fetal Alcohol Spectrum Disorder Collaborative provides important support for many Halton families facing challenges in their lives. This Ontario Trillium Foundation grant will help them expand their vital services and take care of the unique needs of local children and families affected by FASD. I’m so pleased our FASD community is getting this help.” – Indira Naidoo-Harris, MPP for Halton  http://haltonfasd.ca/  When you consider that MPP Hunter, MPP Granville Anderson and now MPP Naidoo-Harris are still with the Ministry of Education, Bill 191 is not dead.  

Template letter for Education Minister Hunter

As you are likely aware Bill 191 has currently been tabled and waiting for second and third reading.   Bill 191 would amend the Education Act to have Ontario school boards develop a strategy on how to help students impacted by FASD.

It is important to understand why it has been tabled, though.  MPP Kiwala, as a backbencher does not have any more opportunities to have this bill read.  It requires a cabinet minister to do so.  The most likely minister is Education Minister Hunter who has informally shown support for the bill.  However, it is clear our current government is not currently willing to mandate FASD as a priority issue due to the fact all cabinet ministers removed themselves for the FASD motion vote so not to show support on behalf of the current government.

When the election writ is dropped in the next few months, all bills waiting readings will be gone and so Bill 191 will disappear.

We need to speak as one voice from all parts of the province this is not acceptable.  Even if Bill 191 doesn't impact you directly, as long as this government refuses to mandate any legislature related to FASD, they will not look at any supports in any ministry.  This Bill is our opportunity to state that the next government needs to make FASD a priority.

We know what kind of power a personal story has.  We got 26 million dollars over 4 years due to the power of the stories you shared with MPP Granville Anderson.  We need to share those stories again with Minister Hunter.

To this end, I would encourage you to use the following template and send a letter to the following MPP's.  Please complete the letter and send it to
mhunter.mpp.co@liberal.ola.org

amajetic@liberal.ola.org from MPP Kiwala's office

and your local MPP

https://docs.google.com/document/d/1l5lKwVU1w590bVnO3KCKuJd7z3X84lqWyMRAehz9vP4/edit?usp=sharing

Sky presents to the Ottawa FASD Group

This past Wed. night, my daughter Sky presented publicly for the first time ever to the entire Ottawa FASD Group.  They had helped sponsor her trip to the Royal Winter Fair and she shared with them her experience.  She spoke for 45 minutes, answered questions independently, demonstrated her knowledge about showing a cow, and handled herself extremely well despite some surprises involving the presentation.

To see the presentation, please go to https://www.youtube.com/watch?v=ceVti5G0iO4,  I do apologize for the quality of the video, we needed to dim the lights for Sky to do this presentation.

For the entire presentation including my piece afterwards where I speak about strategies for managing anxiety and executive functioning challenges and my experience at Queen's Park on Dec. 14, please go to https://docs.google.com/presentation/d/1BXF968VZw_jmiiohFWzpEasMOqrvQpazwaBghcXgJDk/edit?usp=sharing

Good IEP explanation

Hello all,
As promised, I finally recorded my presentation on what a good IEP looks like for a child impacted by FASD.

Please feel free to check it out at https://youtu.be/OgGK7yFn6jA  and share with others.

Rob

Best Birthday Gift Ever! MPP Kiwala's motion and bill

I know we are all talking about what happened Thursday, Dec 14 and I think I finally have a grasp of everything I saw and heard.

There were fifteen of us in the reserved gallery where the MPP's can come and speak with us.  During the debate, we heard the motion and corresponding statement by Sophie Kiwala, MPP who spoke so graciously and eloquently and really showed the passion she has over this issue.  We were then shocked to hear so many others speak in favour of the motion.  As can be seen from the transcript, six other members spoke in favour of the bill, but more importantly, all three parties were represented from those six members.  As a result, the motion passed with unanimous assent.  This was a big test.  All the other motions of the day were contested because they are being used for political wrangling and election preparations.  However, FASD was treated different.  Certainly everyone present at the assembly wanted to see this happen.  This also included MCYS Minister Michael Coteau and Education Minister Mitzie Hunter based on the types of things they were doing on the floor while the debate was going on.
After the debate was finished at about 2:30, we had a long break because all motions needed to be debated first then the votes come.  So the vote was at 4:30.
During the break, though, Sophie joined the fifteen of us and we had some discussions about next steps and had some pictures taken.  If you go to her Facebook page, https://www.facebook.com/SKiwala/ and click on the large group photo, you will see Education Minister Hunter joined us on the far left hand side.
Sophie then went on to tell us the bill FASD Bill also went through first reading.  However, it is important to note only 6% of private member bills have passed in the last 10 years in Queen's Park.  The reason is as follows:  MPP Kiwala, as a backbencher and not a Minister, only gets one day every 17 months to present motions and bills.  By the time she would get to present it for second reading, we will have an election and the bill will disappear and have to start all over again.  However, because she tabled it, any minister can pick it up now and present it.  But it is still a tight time frame.  The Assembly comes back on Feb. 20 and can start presenting bills again.  Sophie did tell us, though, she thinks an election may be called for June which means the writ is dropped in May where everything stops.  This bill must go through second and third reading between Feb 20 and May 1.  And the most likely person to do this is Education Minister Mitzie Hunter of Scarborough.  Sophie has had several conversations with her and MPP Hunter did show support, but she has a challenge as well.  Sophie did try to have the bill be done as a Education Policy/Procedural Memorandum which doesn't require assembly assent but was turned down.  The Ministry of Education is requiring it to be done as an amendment to the Education Act which is extremely ambitious.  As of right now, the second reading is not scheduled and there is no current discussion to schedule it.

So what can be done?  Because Len Whalen and I stayed right to the end for the actual vote and then by happenstance went home on the same train as Sophie, she gave us several pieces of advice on how to advocate now.

1) Be personal!  Sophie mentioned for her it was hearing the stories of three constituents at Kingston that got her started on this path for fighting for us.  She also went on to say the biggest highlight of the day for her was getting to meet Savanna and her dog Sasha from Hamilton.  Brian and Bonnie from Scarborough of FASworld has been fighting the good fight for a lot of years now and have done a great job educating their MPP, Education Minister Hunter.  I can not stress enough the impact twenty-five personal stories would have on her.

Everyone needs to be writing to MPP Hunter and specifically tell her how you know early intervention in the schools is so needed in order to make such a positive impact on those children impacted by FASD.  Be sure and send this same letter to your local MPP as well.

2) Sophie is working on getting us an advocacy day at Queen's Park.  At this day, every one of our organizations get a table where we want to be giving away a short pamphlet of information about FASD and a give-away like a pin or logo.  We will have an opportunity to make an impression on every single MPP in the assembly through this day if they are willing to come.  She is working on getting us a day around the April/May timeframe.

3) If you have influence on your local SEAC committee, encourage them to send a letter of support for the bill to Education Minister Hunter.  If she sees there is support for this bill from both parents and school boards, this will make a big impression on her.

4) Sophie also communicated how excited she was to find out that Vanessa Hrvatin is now writing for the National Post regarding FASD.  She also sees this as one more way to get the province talking about this issue.

This is the first time I have ever met Sophie and her staff face to face.  I was so impressed with Anna, her Legislative Assistant amajetic@liberal.ola.org.  She was such a great host and brought a lot of energy and enthusiasm to the proceedings.  It is very clear to me that Sophie is an amazing collaborator, has navigated in a very short timeframe through multiple obstacles, and has a clear strategy on how to champion our cause.  She did make it very clear she needs and wants us to continue advocating.  She has managed to open a door but it is up to us to push through it.  We do NOT have cabinet support yet.  It is clear the MCYS, the Attorney General, and the Education Minister do believe in what we are doing but there are still obstacles holding them back. 

Let me finish by saying a huge thank you to Sophie and her staff.  Sophie specifically told me she wants us to be talking to her through Anna.  She really has a heart for us and I'm pretty sure she was crying when I gave her the picture of the five of us on our first day as a family.  She truly does want to hear from us and loves the encouragement we are giving her.

National Post article on FASD

Vanessa Hrvatin, formerly of the Kids Brain Health,  won a fellowship with the National Post and was able to choose a topic. She “..has chosen to pursue the topic of Fetal alcohol spectrum disorder (FASD), including how FASD patients are being diagnosed and cared for across the country....” You can read more below. It appears the fellowship will last a year.

http://www.postmedia.com/2017/11/21/postmedia-announces-2018-michelle-lang-fellowship-in-journalism-winner-vanessa-hrvatin/

She just published her first article looking at prevention versus treatment.

http://nationalpost.com/health/scientists-want-to-develop-drugs-to-reverse-fetal-alcohol-syndrome-but-will-it-reduce-prevention-efforts


I would encourage you to comment about her article for two reasons.  First, the comments she is currently getting about this article are very ill-informed.  Second, and more important, we want the National Post editors and other major newspapers to know this is an important issue and needs to be talk about on a national forum.  If she keeps getting lots of comments, that will get people's attention.

Supporting MPP Kiwala Motion

We have clarification now on what is happening Thursday.  MPP Kiwala wants us to send letters of support from each FASD organization supporting the motion to have a day recognizing FASD in Ontario and the need for it.

She is also tabling a private member bill specifically related to education which we will receive a copy of on Thursday.  If this bill is similar to what we saw earlier, it will make a huge difference in our educational system.

Feel free to use the below link with your organization's logo to show support that MPP Kiwala can use during the debate.

https://docs.google.com/document/d/1eGNG4iLUA4BkxK9pj7dhNFW6NTz7Y8ElKeoP2ImgDzE/edit

Dear Rob,

Thank you again for all of your support! We are very much looking forward to seeing you both at Queen’s Park on Thursday, Dec 14^th. Please see more details below.

On this day, MPP Kiwala will be debating her Motion to Recognize Fetal Alcohol Spectrum Disorder Day in Ontario. These proceedings will take place in the afternoon.

Please note that this week, MPP Kiwala will also be introducing a Private Member’s Bill (PMB) , which will focus on education specifically. This PMB will not be debated, but our office can provide you with a copy upon your arrival on Thursday. Please note that the Motion and Private Member’s Bill are two separate pieces of legislation. The PMB will be submitted on a separate date and will not be debated.

Itinerary for Thursday’s debate of MPP Kiwala’s Motion to Recognize Fetal Alcohol Spectrum Disorder Day in Ontario:

Arrival

-12:15pm at the Legislative Assembly of Ontario, located at 111 Wellesley Street West, Toronto ON M7A 1A2

For a map of the grounds, please visit: http://www.ontla.on.ca/lao/en/coming-to-queens-park/location-and-parking/

-Enter through main entrance on South Side. Anna will be meeting visitors in front of the main staircase on the first floor

*Please ensure that you have a piece of government issued ID

*Please inform Anna if you are interested in attending Question Period from 10:30am-12:00pm

Afternoon Proceedings

-1:00-3:00pm

-You will be escorted to the Members Viewing Gallery upon arrival

-MPP Kiwala’s debate will take place from 1:00-2:30pm (approx.)

-Following the debate at 3:00pm, we will meet at the main staircase where you entered for a group photo

*please note that cell phones must be turned off or left with security during the proceedings

MPP Kiwala encourages you to share a letter of support (see attachment) that she can provide to her fellow MPPs to reinforce the need for this Motion. I have attached a sample letter of support for your convenience, however, it would greatly appreciated knowing how your organization would uniquely benefit from this legislation. We request that your letter be printed on letterhead and that you allow MPP Kiwala the privilege of using your organization’s logo when promoting my Bill.

If you have any questions, please do not hesitate to contact our office at 416 326 0820. Kindly also inform us if you require any assistance with respect to accessibility.

It would also be most helpful to have your contact information for the day’s activities.

We look forward to seeing you!

Best,

Team Kiwala

MPP Kiwala FASD Education Bill

MPP Kiwala announced today she will be bringing a private member motion to the floor of Queen's Park for debate on Thursday, December 14 at approximately 1pm.  I have seen a draft version of this motion and it is focused on providing much needed supports in our educational system for children impacted by FASD.  MPP Kiwala did draft it in consultation with Education Minister Mitzi Hunter.  It did go to the Premier's desk for study and got sent back.

However, in the past ten years, only 6% of all private member motions have passed in Queen's Park.  MPP Kiwala is asking for us to encourage our MPP's to support this motion and attend the debate to clearly show our resolve.

If you can attend, please RVSP amajetic@liberal.ola.org by this Monday, Dec 11 5pm.

If you can't attend, please contact your MPP using the link below to encourage them to vote in favour of this bill.  

This is our moment to rise up and clearly tell our provincial government we are here.  The fact MPP Kiwala has to bring it to Queen's Park as a private member motion means MPP Coteau of MCYS and Premier Wynne are still dismissing us.  Please send a message to all three parties we see this as an election issue.  Are they willing to represent us in our work or not?

I am encouraged that MPP Kiwala and Education Minister Hunter are still forging ahead with it.  Let them also know how much we appreciate their advocacy for us.

http://www.ontla.on.ca/web/members/members_current.do?locale=en

Good Afternoon,

Member of Provincial Parliament for Kingston and the Islands, Ms. Sophie Kiwala, cordially invites you to attend the Legislative Assembly of Ontario for the reading and debate of her Private Member’s Motion, to take place on Thursday, December 14^th at approximately 1:00PM.Details of the reading and debate can be found below. More information regarding the motion will be forthcoming. 

Please contact amajetic@liberal.ola.org for any questions. If you are interested in attending the debate, please RSVP by Monday, December 11^th by 5:00PM. MPP Kiwala would be most pleased if you could join her for the afternoon.

Warm regards,

The Office of MPP Sophie Kiwala

Interpreting FASD diagnostic practices and treatments

On December 14, 2015, the Canadian Medical Association Journal published an article called "Fetal Alcohol Spectrum Disorder: A guideline for diagnosis across the lifespan" which was a revision by the same authors to an earlier article published in 2005.  While these guidelines are not necessarily required to be followed by medical practitioners, they are the most widely used and accepted.  These Canadian guidelines are a little different from other countries primarily because the medical community isn’t currently agreeing on the meaning of their vocabulary.

These new guidelines state that if a person has confirmation that the mother consumed alcohol during the pregnancy, and shows three impairments in the areas of brain development, motor skills or movement, cognition or general thinking, language, academics or school grades, memory, attention, executive functioning which is basically planning and organization skills, mental health and social ability, they can be diagnosed with FASD.  If the child shows from baby pictures they had narrow eyes, a flat ridge below their nose and a thin upper lip, they are diagnosed with FASD with sentinel features.  If they are missing one of those three physical features, then it is without sentinel features.  The new guidelines eliminated pFAS, FAS and ARND as diagnosis terms and it is simply called FASD now.  It also added mental health as a new impairment and eliminated growth rate.  It establishes that a psychologist, speech-language pathologist, and occupational therapist assessments are needed to determine if three of the ten domains exist.  It then requires a medical practitioner familiar with FASD characteristics to make the diagnosis.  It strongly encourages using the multi-disciplinary model to properly diagnosis and support the person impacted by FASD.

You should also be aware of practices to avoid.  Because these are only guidelines, any medical practitioner can diagnose. Within our current medical culture, there is controversy and disagreement as to how this condition should be diagnosed.  The DSM-5 which establishes the guidelines for psychologists also give them the ability to diagnose neurobehavioral disorder associated with prenatal alcohol exposure under which FASD does fall.  However, a recent study published by the same CMA Journal, shows the DSM-5 guidelines only captures about half of the FASD diagnoses these new guidelines diagnose. http://cmajopen.ca/content/5/1/E178.full  The importance of using a multi-disciplinary approach to diagnose is incredibly important.  Because multidisciplinary teams can be rare depending on where you are located, you may need to become your own team.  This situation existed for us.  When we suspected our children had FASD, we got the diagnosis and support as soon as possible.  First, we went to a pediatrician who understands what FASD is.  Next, we got any type of documentation that stated there was a strong possibility that the mother may have drank during the pregnancy.  In our case, it was a CAS social worker who gave us a letter making that statement and who gave us frontal head shot photos from age six months to 6 years.  At age 3-4, we got a speech-language assessment with occupational therapy recommended.  At age 4-5, we got the occupational therapy assessment with a sensory profile as well.  With this, we started working with the school and got a special education plan and keep copies of all their documentation.  In grade 3, we got a neuro psychological assessment.  A psychological educational assessment will also work.  With all this documentation, we went to our pediatrician and ask for the referral to an appropriate medical practitioner. 

While there isn’t any realistic cure for FASD right now, early intervention is important.  A common story today is people impacted by FASD getting diagnosed when things get bad.  This may include attempting suicide, getting arrested, employment challenges, gang participation or being in abusive relationships.  These are common outcomes when the individuals aren’t being provided the necessary supports with established routines.  When you have early intervention, you are no longer guessing why these individuals are behaving in the way they are.  You can start teaching coping strategies, discovering triggers, implementing supports, and establish relationships at a time when the child will be receptive to receiving them.  If you are trying to establish these things with an adult, you are now dealing with low self-esteem, distrust, depression and shame at the same time.

One exciting new development in this area was recently announced by UBC genetic researchers.  They have discovered that people impacted by FASD have DNA with unusual methylation. Basically, their DNA doesn’t work properly.  However, there are several conditions that can have this unusual type of DNA so they can’t use it yet for early detection.  Other researchers have been able to identify certain DNA patterns that normally means a likelihood to develop certain types of cancer.  It is the hope they will be able to do the same for FASD.  Research is also showing healthy living makes a huge impact as well.  Eating right, sleeping well, getting lots of exercise and having the right vitamins such as iron will enable the person to manage the other aspects of their lives much more effectively.

As to treatment, the objective is to manage the condition.  Because the condition is a spectrum disorder, each individual need supports particular to them.  While medication seems to have widely varying effects, proper counseling should certainly be used.  Cognitive Behaviour Therapy should be avoided, though, because it only increase shame.  Self-awareness is a powerful tool for the individual because most of the time they are aware of how they are coping.  They just can’t do anything about it on their own.  Knowing what they are good at, being able to advocate for themselves, understanding what their triggers are and how to cope with them, discovering what their best methods of learning are and realizing and accepting support in their areas of need are all necessary components for success.  They may need people like a financial trustee, a system navigator, a house cleaner, an understanding employer, a supportive church and a close group of friends watching out for them.  While it is currently rare to meet an adult impacted by FASD to have received early intervention and current supports, when you do meet one, you will see them living interdependent and fulfilling lives. 

You may hear people talk about potential treatments like neurogenesis treatments and neuroplasticity.  I would strongly caution you about these treatments.  The basis of these treatments is to take the brain back to an earlier state.  It works for stroke victims because they had a properly working brain earlier.  However, with FASD, there was never an earlier properly working brain. 

FASD is not to be feared.  I see daily that within my family and other local families that individuals impacted by FASD can be happy, successful and interdependent.  With awareness, advocacy, education, support, healthy living and faith, there is hope.

Using Constant Reflection to find success

One of the big questions around FASD is what can be done?  We know there isn’t any cure, there is disagreement about treatments and there is controversy about medication.  However, if we ask what is our biggest concern toward our children impacted by FASD, we tend to say coping.  In the research I have heard recently, I keep hearing what doesn’t work, but rarely hear what does work.  I have seen in numerous cases what does work is constant reflection on strategy effectiveness.

In laymen’s terms, it is basically using science methods to understand behaviour.  If we accept the premise that all behaviour is communication, then we use experimentation and constant reflection to determine what that communication is.  If I ask my son to turn the TV off and he yells at me, I document the event, time, place, circumstances, and language.  If this event keeps happening every time I ask, I will change something and see if it is any more effective.  If I run out of alternatives, then I am going to ask someone else such as a counselor for suggestions. 

Interestingly, this is not a new strategy for special education.  Back in 1994, when I was writing my Master’s thesis, I referred to the fact the most effective reading programs were the ones that continually used the scientific method to determine effectiveness.  My family also consistently reflect on our lives.  Any time we attempt something new, we will evaluate how well we did.  If I make cookies and they taste awful, I will go back to the recipe and try and figure out what I did wrong.  If I put an IKEA table together and have parts left over, I will go back and figure out why.  I am constantly thinking about the most efficient way to drive from one place to another.  When I break down these behaviours into each part, then experiment with different ways to discover the most efficient, I will eventually find successes.  I believe this is why my daughter Cassie loves the cooking shows because every chef I have seen is constantly using reflection to create the best possible dish.  Cassie, at some level, recognizes the familiarity of it.  Whenever Sky or Jacob can verbalize why they acted the way they did, they are using reflection to discover this.

However, the key is identifying the variables responsible through experimentation.  Rarely can our children verbally communicate these variables.  We know when Sky is short-tempered, Cassie is crying and Jacob is yelling, something is wrong.  We will start tracking their day to find out what has them out of sorts.  We know anxiety leads to bad decision making, too much talking overwhelms them, rapid changes make them confused, and boredom leads to impulsivity.  We know all of this because we have consistently used reflection to detect the pattern.  And through experimentation, we have discovered strategies that work for them in those situations.  It is also important to note that these five concepts will work through the lifespan, but the way we apply them changes with age or with particular situations.  It is also important to recognize a strategy may work once but then fail to work later due to a slight change in the situation.  Therefore, it is constant reflection.

1  1)   Discrete Trial Teaching is basically simplifying it.  Focus on one thing, accomplish it, then move onto the next thing.  My children don’t understand time so they just keep going step by step until it is done.

2  2) Naturalistic Teaching or Discovery Learning.  I love this one.  Basically, look at their strengths and use them as much as possible.  My son is great with his iPad so we use loads of apps to help him manage his emotions, watch videos, voice text his writing, use pictures to describe and listen to stories.

3  3)      Pivotal Response Therapy takes naturalistic learning a step further.  We deliberately tap into strengths to manage one specific identified behaviour from using reflection.  My daughter Sky really struggles with speaking to strangers.  But if an unknown fair judge asks her about her cow, she can be very articulate.

4  4)      Token Economy or Bribery – Yes, it works if you can find the right motivator.  If I tell Sky or Jacob I will let them have a favorite snack if they do what I ask, they will do it.

5  5)       Contingent Observation or Good modeling- We actively seek and encourage relationships with peers who provide good modeling for them.  And we are discovering if these friends are consistent in their relationship with our children, everyone tends to do well.

There are other strategies obviously, some of which will work and others that clearly do not.  For us, though, these five have proven to be very effective.  The key, though, is not to give up.  My old basketball coach used to say the only way we lose is if we quit.  Otherwise, we just didn’t have enough time.  So just don’t quit and you will find the solution.  You may use twenty different strategies before finally finding the one that works for your child.  But there is, most certainly, at least one that will work.

Remembering those who cannot speak

Spur Ottawa recently published an article about one of my books from a couple years ago.  While I speak for those impacted by disabilities who can't speak for themselves, I also speak for those who no longer have a voice.  http://www.spurottawa.com/helping-children-remember/

One of my other passions is the stories of those who served in WWI.  Two years ago, I wrote my flagship book about one such veteran named Henry Barrie.  As we remember our veterans specifically tomorrow and every time we stand for the national anthem, Henry is the one I remember.

If you can't attend a memorial service tomorrow, I invite you to go to http://henrybarrie.weebly.com/ to get a sense of this extraordinary human being.

Young ladies impacted by FASD shine

My daughter, Cassie, recently got mentioned in the St. Emily November newsletter.  This school supported a fundraiser for the Ruiter family who recently lost their farm and animals in a devastating fire.  The school participated in a bake sale to help raise funds and Cassie donated 8 dozen cookies to the effort.  https://docs.google.com/document/d/1_O9bCJ4BVCYxWY4MPtMZGO4RP8MGXrcJgow4GPcgU28/edit

Support to our Community

St. Emily School would like to thank its amazing staff for its contribution to the Ruiters Fundraiser with 30 dozen baked goods for the bake sale.  As we know, the Ruiters recently had a devastating fire at their farm and the St Emily community has responded to the call in a big way.  The St. Emily school community would also like to make a special mention of Cassie More who contributed 8 dozen cookies.  Cassie is a young lady impacted by FASD and currently has a Co-op placement at C'est Tout Bakery in Smiths Falls and a member of the Grenville 4H Baking Club.  When she heard the Ruiter family were having this bake sale, she wanted to help them and got in touch with St. Emily.  St. Emily School was thrilled to pass her cookies along for her.

My other daughter, Skylar, was also in the Royal Winter Fair this weekend competing against the top 100 competitors in the province.  In the first half of the competition, Sky did her best showing of the year maintaining composure and maturity despite an unexpected development.  In the second half of the competition, Sky finished second in the semifinals and ended up being one of the 18 finalists.  To accomplish this so early in her career is absolutely mind-boggling.  Her local club also communicated that Sky set the alltime record for them in fundraising.  Thank you to all for making this dream possible.

Daughter impacted by FASD wins invite to Provincial Fair

This past weekend, my daughter showed unbelievable character and resolve and finally achieved her goal of showing at the Royal Winter Fair in Toronto Nov.4-7.  After eight years of practice, development and determination, she finished second at the local fair, Grand Champion at the district fair and now fourth at the regional fair in Metcalfe.  While at the Metcalfe fair, she was surprised with an interview by the judge and misunderstood his question.  The judge proceeded to announce to the crowd he was placing her second to last because she didn't know anything about her cow as she was exiting the arena.  When she got back to the barn for the intermission, the cow beside her starting choking so she pulled it tongue to the side and removed the obstruction.  However, the cow then bit her finger causing it to bleed profusely.  She rushed to first aid, got it wrapped up, and then did her second showing.  She pulled it together so well the judge said the difference between the first place cow and hers in fourth place was very minimal.  Because of her resolve and determination, the Grenville 4H Beef Club extended an invitation to her to show at the Granddaddy of them all, the Royal Winter Fair where she will compete against the best across the province.  The show will be live streamed and the live stream
address will be posted here once it is live.

However, we now have to figure out how to get her cow, her mother and her transported to Toronto and stay overnight for three days in a month.  We are being told it will cost about $1000 to accomplish this as she is not able to navigate this on her own unlike the other participants.  The Grenville 4H Beef Club does post a sponsor board at the front gate for the 300,000+ attendees to see.  If you would like to bring some awareness to the general public from all over the province about your favorite organization, please consider making any size donation to the Go Fund Me page that Sky has created.  Help us help her realize this dream.


https://www.gofundme.com/showing-at-the-royal-toronto-fair

The 4H Pledge

                            I pledge

My head to clearer thinking

My heart to greater loyalty

My hands to larger service

And my health to better living

For my club

My community

My country

And my world